| Progressive Internal Medicine, Inc. | |
|
38 Remick Blvd Springboro OH 45066-9168 | |
| (937) 886-1100 | |
| (937) 886-1101 |
| Full Name | Progressive Internal Medicine, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 38 Remick Blvd, Springboro, Ohio |
| Authorized Official Name and Position | Raman Khosla (PRESIDENT) |
| Authorized Official Contact | 9372875435 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Internal Medicine, Inc. 38 Remick Blvd Springboro OH 45066-9168 Ph: (937) 886-1100 | Progressive Internal Medicine, Inc. 38 Remick Blvd Springboro OH 45066-9168 Ph: (937) 886-1100 |
| NPI Number | 1184619207 |
|---|---|
| Provider Enumeration Date | 09/14/2005 |
| Last Update Date | 06/30/2014 |
| Medicare PECOS PAC ID | 9739112863 |
|---|---|
| Medicare Enrollment ID | O20050919000015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184619207 | NPI | - | NPPES |
| 2879345 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 71129 (Ohio) | Primary |
| Provider Name | Raman Khosla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669467783 PECOS PAC ID: 8022059807 Enrollment ID: I20050523000236 |
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Premier Health Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 N Main St, Springboro, OH 45066 Phone: 937-748-4211 | |
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